Form EIA-860M MONTHLY UPDATE TO ANNUAL ELECTRIC GENERATOR REPORT

FORM EIA-860M MONTHLY UPDATE TO ANNUAL ELECTRIC GENERATOR REPORT

Approval: OMB No. 1905-0129 Approval Expires: xx/xx/xxxx

Burden: 0.3 Hours

NOTICE: This report is mandatory under the Federal Energy Administration Act of 1974 (Public Law 93-275). Failure to comply may result in criminal fines, civil penalties and other sanctions as provided by law. For further information concerning sanctions and disclosure information, see the provisions stated on the last page of the instructions. Title 18 USC 1001 makes it a criminal offense for any person knowingly and willingly to make to any Agency or Department of the United States any false, fictitious, or fraudulent statements as to any matter within its jurisdiction.

SCHEDULE 1. IDENTIFICATION

1. What is the contact information for the preparer?

- The survey contact is the person that completes and submits the data.

First Name		Last Name
Title
Address
City		State		Zip Code
Phone		Ext		Fax
Cell Phone
Email

2. What is the contact information for the preparer’s supervisor?

First Name Title Address City Phone

Cell Phone Email

State Ext

Zip Code Fax

3. What is the contact information for this entity?

Entity Name
Entity ID
4. Enter the month and year that you are reporting for:		(MM/YYYY)

If you have a question about the data requested on this form, email [email protected] (preferred) or contact one of the survey managers:

Suparna Ray, (202) 586-5077 Alex Mey, (202) 287-5868 Raymond Chen, (202) 287-6532

1

FORM EIA-860M MONTHLY UPDATE TO ANNUAL ELECTRIC GENERATOR REPORT

Approval: OMB No. 1905-0129 Approval Expires: xx/xx/xxxx Burden: 0.3 Hours

Legal Name of Entity

[Pre-printed]

Entity ID

[Pre-printed]

State

[Pre-printed]

Reporting Month/Year

[Pre-printed

]

SCHEDULE 2. UPDATES TO PROPOSED NEW GENERATORS

1. Verify the plant identification number, plant name and state. - If any of the information is incorrect or missing, provide the correct information in Schedule 4, Comments.

Plant Name

[Pre-printed]

Plant ID

[Pre-printed]

Plant State

[Pre-printed]

Verify that the pre-printed data in items 1-8 below are correct. If data are correct, check the “Check if no change” box and complete Schedule 3, if applicable. If any of the pre-printed data are incorrect or missing: Provide the correct data in the “This Month’s Updates” column Enter the reason for change

Generator ID:

[Pre-printed]

Generator ID:

[

Pre-printed]

Check if no change:

Check if no change:

Last Data Reported to EIA

This Month’s Update

Last Data Reported to EIA

This Month’s Update

1

Status Code

[Pre-printed]

[Pre-printed]

2

Prime Mover Code

[Pre-printed]

[Pre-printed]

3

Nameplate Capacity (MW)

[Pre-printed]

[Pre-printed]

4

Net Summer Capacity (MW)

[Pre-printed]

[Pre-printed]

5

Net Winter Capacity (MW)

[Pre-printed]

[Pre-printed]

6

Energy Source 1

[Pre-printed]

[Pre-printed]

7

Energy Source 2

[Pre-printed]

[Pre-printed]

8

Planned Current Effective Date

[Pre-printed]

[Pre-printed]

9

Reason for Change Select all that apply Explain “Other” in Schedule 4

Financial

Equipment

Financial

Equipment

Permitting

Other

Permitting

Other

2

3

Legal Name Entity ID

[Pre-printed]

State

FORM EIA-860M MONTHLY UPDATE TO ANNUAL ELECTRIC GENERATOR REPORT

[Pre-printed]

Reporting Month/Year

Approval: OMB No. 1905-0129 Approval Expires: xx/xx/xxxx

Burden: 0.3 Hours

[Pre-printed]

SCHEDULE 3. UPDATES TO PROPOSED CHANGES TO EXISTING GENERATORS

(Use Additional Pages if Necessary)

1. Verify the plant identification number, plant name and state.

- If any of the information is incorrect or missing, provide the correct information in Schedule 4, Comments

Plant Name [Pre-printed] Plant ID [Pre-printed] Plant State [Pre-printed]

2. Verify that the pre-printed data in items 1-25 below are correct.

If data are correct, check the “Check if no change” box

If any of the pre-printed data are incorrect or missing: provide the correct data in the “This Month’s Updates” column. Enter the reason for change

Generator ID: [Pre-printed] Generator ID: [Pre-printed] Check if no change: Check if no change:

Existing Information

1. Prime Mover Code (Existing)

2. Energy Source 1

3. Energy Source 2

4. Nameplate Capacity (MW)

5. Net Summer Capacity (MW)

6. Net Winter Capacity (MW) Uprate

7. Is the Uprate Still Planned?

8. Planned Uprate Net Summer Capacity (MW)

9. Planned Uprate Net Winter Capacity (MW)

10. Planned Uprate Month/Year Derate

11. Is the Derate Still Planned?

12. Planned Derate Net Summer Capacity (MW)

13. Planned Derate Net Winter Capacity (MW)

14. Planned Derate Month/Year

Last Data Reported to EIA

[Pre-printed] [Pre-printed] [Pre-printed] [Pre-printed] [Pre-printed] [Pre-printed]

[Pre-printed] [Pre-printed] [Pre-printed] [Pre-printed]

[Pre-printed] [Pre-printed] [Pre-printed] [Pre-printed]

This Month’s Update

Last Data Reported to EIA

[Pre-printed] [Pre-printed] [Pre-printed] [Pre-printed] [Pre-printed] [Pre-printed]

[Pre-printed] [Pre-printed] [Pre-printed] [Pre-printed]

[Pre-printed] [Pre-printed] [Pre-printed] [Pre-printed]

This Month’s Update

4

New Net Capacity

15. New Net Summer Capacity

FORM EIA-860M MONTHLY UPDATE TO ANNUAL ELECTRIC GENERATOR REPORT

Approval: OMB No. 1905-0129 Approval Expires: xx/xx/xxxx

Burden: 0.3 Hours

(item 5 + item 8 – item 12)

[Pre-printed]

[Pre-printed]

16. New Net Winter Capacity (item 6 + item 9 – item 13)

[Pre-printed]

[Pre-printed]

Repowering

17. Is the Repowering Still Planned? [Pre-printed] [Pre-printed]

18. New Prime Mover Code [Pre-printed] [Pre-printed]

19. New Energy Source [Pre-printed] [Pre-printed]

20. Planned Repower Month/Year [Pre-printed] [Pre-printed]

Retirement

21. Is the Retirement Still Planned? [Pre-printed] [Pre-printed]

22. Planned Retirement Month/Year [Pre-printed] [Pre-printed]

Other Modifications

23. Are Other Modifications Still Planned? [Pre-printed] [Pre-printed]

24. Planned Modifications Month/Year [Pre-printed] [Pre-printed]

25. Reason for Change

    • Check all that apply

    • If “Other” explain in Schedule 4)

Financial Permitting

Equipment Other

Financial Permitting

Equipment Other

5

Legal Name of Entity

FORM EIA-860M MONTHLY UPDATE TO ANNUAL ELECTRIC GENERATOR REPORT

Approval: OMB No. 1905-0129 Approval Expires: xx/xx/xxxx

Burden: 0.3 Hours

Entity ID

State

Reporting Month/Year SCHEDULE 4. COMMENTS

SCHEDULE

LINE

(Use Additional Pages if Necessary)

NUMBER A

NUMBER B

NOTES C

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